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D
Poor

DOWNTOWN HEALTH AND REHABILITATION CENTER

424 S ADAMS ST · FORT WORTH, TX 76104

8173355781 · Government - Hospital district

161 beds105.7 residents104 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

DOWNTOWN HEALTH AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.2634 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3944 HPRD, below the recommended 0.75. It is 0.63 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.3% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2634 HPRD — needs 0.22 more hours per resident per day.
⚠️RN staffing (0.3944 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2634hrs/resident/day▼ 0.63
CMS benchmark: 3.48
RN HPRD
0.3944hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
20.3%
3.462 weekday → 2.7593 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.3359hrs/resident/day
Direct care aides
LPN HPRD
0.9392hrs/resident/day
Licensed practical nurses
Consistency
0.355std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Tarrant County Average-0.14 HPRD
3.40
03.26 HPRD
vs. Texas State Average-0.14 HPRD
3.40
03.26 HPRD
vs. National Average-0.63 HPRD
3.90
03.26 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
DOWNTOWN HEALTH AND REHABILITATION CENTER ★
FORT WORTH · This facility
—
D
3.26340.3944★★☆☆☆
DFW Nursing & Rehab
Fort Worth
0.3 mi
D
3.23990.3385★☆☆☆☆
Park View Care Center
Fort Worth
3.3 mi
C
3.61940.526★★★☆☆
Arlington Heights Health and Rehabilitation Center
Fort Worth
3.4 mi
C
3.65460.401★☆☆☆☆
Fort Worth Wellness & Rehabilitation
Fort Worth
5.1 mi
D
3.07990.3874★☆☆☆☆
RENAISSANCE PARK MULTI CARE CENTER
FORT WORTH
5.5 mi
B
3.93380.6826★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

24
Inspections
51
Total Deficiencies
$38,486
Fines Assessed
Nov 25, 2025Health
1 deficiency cited
▼
May 14, 2025Health
2 deficiencies cited
▼
May 8, 2025Health
3 deficiencies cited
▼
May 4, 2025Health
1 deficiency cited
▼
Apr 1, 2025Health
2 deficiencies cited
▼
Feb 11, 2025Health
1 deficiency cited· Includes actual harm
▼
Dec 23, 2024Health
1 deficiency cited
▼
Dec 19, 2024Health
7 deficiencies cited
▼
Dec 4, 2024Health
2 deficiencies cited
▼
Sep 12, 2024Health
1 deficiency cited
▼
Sep 5, 2024Health
2 deficiencies cited
▼
Jul 24, 2024Health
2 deficiencies cited
▼
Apr 27, 2024Health
2 deficiencies cited
▼
Apr 20, 2024Health
3 deficiencies cited
▼
Apr 7, 2024Health
1 deficiency cited
▼
Mar 5, 2024Health
1 deficiency cited· Includes actual harm
▼
Feb 21, 2024Health
3 deficiencies cited
▼
Dec 19, 2023Health
2 deficiencies cited
▼
Nov 15, 2023Health
4 deficiencies cited
▼
Sep 26, 2023Health
1 deficiency cited· Includes actual harm
▼
Jun 27, 2023Health
1 deficiency cited
▼
Apr 26, 2023Health
2 deficiencies cited· Includes actual harm
▼
Feb 13, 2023Health
1 deficiency cited· Includes actual harm
▼
Sep 29, 2022Health
5 deficiencies cited
▼

Penalty History

Dec 19, 2024Fine
$16,859
Feb 21, 2024Fine
$10,225
Sep 26, 2023Fine
$9,334
Apr 26, 2023Fine
$2,068
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.